Individual
JERROLD BENEDICT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1541 N SHERIDAN RD, TULSA, OK 74115-4610
(615) 778-4066
(615) 778-9114
Mailing address
720 COOL SPRINGS BLVD, SUITE 300, FRANKLIN, TN 37067-2626
(615) 778-4066
(615) 778-9114
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
17441
OK
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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